Evidence map›Paper›PMID 37391770›Full record

ArticleParasites & vectors2023

Malaria rapid diagnostic tests reliably detect asymptomatic Plasmodium falciparum infections in school-aged children that are infectious to mosquitoes.

Lorenz M Hofer, Prisca A Kweyamba, Rajabu M Sayi, Mohamed S Chabo, Sonali L Maitra, Sarah J Moore, Mgeni M Tambwe

Abstract read
In one paragraph

Article in Parasites & vectors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Seroprevalence of antibodies toFrontiers in immunology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lorenz M HoferVector Biology Unit, Department of Epidemiology and Public Health, Swiss Tropical and Public Health, Institute, Kreuzstrasse 2, 4123, Allschwil, Basel, Switzerland.ORCID http://orcid.org/0000-0002-0906-2449
Prisca A KweyambaVector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, 74, Bagamoyo, Tanzania.
Rajabu M SayiVector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, 74, Bagamoyo, Tanzania.
Mohamed S ChaboVector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, 74, Bagamoyo, Tanzania.
Sonali L MaitraVector Biology Unit, Department of Epidemiology and Public Health, Swiss Tropical and Public Health, Institute, Kreuzstrasse 2, 4123, Allschwil, Basel, Switzerland.
Sarah J MooreVector Biology Unit, Department of Epidemiology and Public Health, Swiss Tropical and Public Health, Institute, Kreuzstrasse 2, 4123, Allschwil, Basel, Switzerland.ORCID http://orcid.org/0000-0002-0938-6654
Mgeni M TambweVector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, 74, Bagamoyo, Tanzania. mmohamed@ihi.or.tz.ORCID http://orcid.org/0000-0001-9977-3537

Funding

Bill and Melinda Gates Foundation OPP1158151
6 · The paper itself

Abstract

backgroundAsymptomatic malaria infections (Plasmodium falciparum) are common in school-aged children and represent a disease transmission reservoir as they are potentially infectious to mosquitoes. To detect and treat such infections, convenient, rapid and reliable diagnostic tools are needed. In this study, malaria rapid diagnostic tests (mRDT), light microscopy (LM) and quantitative polymerase chain reaction (qPCR) were used to evaluate their performance detecting asymptomatic malaria infections that are infectious to mosquitoes.

methodsOne hundred seventy asymptomatic school-aged children (6-14 years old) from the Bagamoyo district in Tanzania were screened for Plasmodium spp. infections using mRDT (SD BIOLINE), LM and qPCR. In addition, gametocytes were detected using reverse transcription quantitative polymerase chain reaction (RT-qPCR) for all qPCR-positive children. Venous blood from all P. falciparum positive children was fed to female Anopheles gambiae sensu stricto mosquitoes via direct membrane feeding assays (DMFAs) after serum replacement. Mosquitoes were dissected for oocyst infections on day 8 post-infection.

resultsThe P. falciparum prevalence in study participants was 31.7% by qPCR, 18.2% by mRDT and 9.4% by LM. Approximately one-third (31.2%) of asymptomatic malaria infections were infectious to mosquitoes in DMFAs. In total, 297 infected mosquitoes were recorded after dissections, from which 94.9% (282/297) were derived from infections detected by mRDT and 5.1% (15/297) from subpatent mRDT infections.

conclusionThe mRDT can be used reliably to detect children carrying gametocyte densities sufficient to infect high numbers of mosquitoes. Subpatent mRDT infections contributed marginally to the pool of oocyts-infected mosquitoes.

Indexed as

AnophelesMalariaMalaria, FalciparumAdolescentAnimalsAsymptomatic InfectionsChildFemaleHumansPlasmodium falciparumRapid Diagnostic TestsAnopheles gambiae sensu strictoAsymptomatic malariaGametocytesMalaria diagnosticsMalaria transmissionPlasmodium falciparum

Identifiers

PMID37391770
PMCPMC10314504

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.